My Mom's Home Alf West Tampa LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MY MOM'S HOME ALF WEST TAMPA LLC

Practice address

3204 W Leroy St
Tampa, FL 33607

Phone

(813) 872-6806

Fax

(813) 436-5176

NPI assigned

Mar 7, 2017

Last updated

Feb 8, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

David Caro

Title

Owner

Phone

(201) 978-8615

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518048000000",
    "number": "1235679416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 W LEROY ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "813-872-6806",
            "fax_number": "813-436-5176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 W LEROY ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33607",
            "telephone_number": "813-872-6806",
            "fax_number": "813-436-5176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY MOM'S HOME ALF WEST TAMPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-07",
        "last_updated": "2018-02-08",
        "status": "A",
        "authorized_official_last_name": "CARO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-978-8615"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• My Diagnostics LLC
• My Doctor Medical Group Corp
• My Family Home Health Inc
• My Favorite Clinic LLC
• My Master's Worldwide Ventures Inc (My Master's Pharmacy)
• My Moms Home Alf LLC
• My Pharmacy of Brandon, LLC (My Pharmacy)
• My Pharmacy of Tampa LLC (my pharmacy of tampa)
• My Prescription Coach Com LLC (My Prescription Coach Compounding Pharmacy)
• My Psychology Place Inc.

• Assisted Living Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.